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Among the myriad accessible social networking sites, Facebook remains the most popular, with 71% of 13- to 17-year-olds surveyed by the Pew Research Center in 20 reporting using this site/app.

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Exactly what young children are doing on mobile technology has not been studied in great detail, because mobile device usage is relatively recent and methodologically difficult to assess.It is unclear whether these decreases are in part the result of parents heeding expert recommendations to limit screen time (evidence would suggest not) or whether they represent a displacement of TV viewing by the use of novel platforms.In young children, use of mobile devices, such as smartphones and tablet computers, has risen dramatically since the Kaiser Family Foundation first began surveying parents of 0- to 8-year-olds about their technology use.To promote health and wellness in children and adolescents, it is important to maintain adequate physical activity, healthy nutrition, good sleep hygiene, and a nurturing social environment.A healthy Family Media Use Plan ( Use Plan) that is individualized for a specific child, teenager, or family can identify an appropriate balance between screen time/online time and other activities, set boundaries for accessing content, guide displays of personal information, encourage age-appropriate critical thinking and digital literacy, and support open family communication and implementation of consistent rules about media use.Although these national surveys continued to demonstrate a digital divide on the basis of economic status, with less access to mobile technology and the Internet in lower-income families, a smaller study in 2015 called this disparity into question by showing that almost all (96.6%) 0- to 4-year-olds recruited from a low-income pediatric clinic had used mobile devices, and 75% owned their own device.

This study also showed that most 2-year-olds used mobile devices on a daily basis and that most of the 1-year-olds assessed (92.2%) had already used a mobile device.

At present, approximately three-quarters of teenagers own a smartphone, 24% of adolescents describe themselves as “constantly connected” to the Internet Mobile apps provide a breadth of specific functions, such as gaming, photo and video sharing, and global positioning system monitoring.

Social media sites and their associated mobile apps provide a platform for users to create an online identity, communicate with others, and build a social network.

Risks of such media include negative health effects on sleep, attention, and learning; a higher incidence of obesity and depression; exposure to inaccurate, inappropriate, or unsafe content and contacts; and compromised privacy and confidentiality.

This technical report reviews the literature regarding these opportunities and risks, framed around clinical questions, for children from birth to adulthood.

Today’s children and adolescents are immersed in both traditional and new forms of digital media.